| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $134.90 | $177.83 | $288.40 | |
BCBS
| Facility | $87.10 | $204.17 | $426.58 | |
BCBS
| Professional | $257.04 | $338.84 | $645.65 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $141.25 | $141.25 | $190.55 | |
Medica
| Facility | $104.71 | $234.42 | $691.83 | |
Medica
| Professional | $120.23 | $154.88 | $309.03 | |
United
| Facility | $104.71 | $199.53 | $269.15 | |
United
| Professional | $128.82 | $154.88 | $229.09 |